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This is VAERS ID 266568

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266568
Age:12.0
Gender:Female
Location:West Virginia
Vaccinated:2006-10-25
Onset:2006-10-25
Submitted:2006-11-01
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0955F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Irritability, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Fussy body rash X 24 hours following vaccination. Cleared spontaneously.


Changed on 12/8/2009

VAERS ID: 266568 Before After
Age:12.0
Gender:Female
Location:West Virginia
Vaccinated:2006-10-25
Onset:2006-10-25
Submitted:2006-11-01
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Irritability, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Fussy body rash X 24 hours following vaccination. Cleared spontaneously.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=266568&WAYBACKHISTORY=ON


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